Bassam W Fargo, DDS Valid NPI

Individual provider · Dentist · Fontana, CA

NPI

1649794009

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

101625 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2017-07-27

Last updated

2020-03-11